ANDREW M. CUOMO
Governor
HOWARD A. ZUCKER, M.D., J.D.
Acting Commissioner
SALLY DRESLIN, M.S., R.N.
Executive Deputy Commissioner
March 18, 2015
Dear NYSIIS User:
This letter is to inform you of recent changes to New York State Public Health Law (PHL) Article
21, Title 6, Section 2168 pertaining to the New York Statewide Immunization Information
System (NYSIIS) and the New York City (NYC) Citywide Immunization Registry (CIR) effective
October 21, 2014. The revisions to PHL § 2168 are as follows:

Registered nurses and pharmacists authorized to administer immunizations are now
authorized users of NYSIIS or CIR.

Registered nurses and pharmacists authorized to administer immunizations must report
immunizations administered to adults ages 19 years and older upon the consent of the
patient.
Registered nurses and pharmacists who administer immunizations to persons 19 years of age or
older must enter the immunizations into NYSIIS or CIR within 14 days of administration.
All NYSIIS or CIR users must obtain consent from the adult prior to submitting immunization
information to NYSIIS or CIR. Consent may be acquired verbally or consent for inclusion of
immunizations in NYSIIS may be included in your organization’s existing consent form(s). The
current NYSIIS consent form also will remain available for anyone who wishes to use it.
Adult consent may be documented by either manually switching the consent indicator to “yes”
in NYSIIS or ensuring consent is documented in your electronic medical record (EMR) and
electronically submitted to NYSIIS.
The option for anyone 19 years of age or older to withdraw consent is still in effect and the
NYSIIS Withdrawal of Consent form is available from the NYSIIS home page under “Forms” or
the NYSIIS website at:
http://www.health.ny.gov/prevention/immunization/information_system/providers/.
A link to a full copy of the revised PHL 2168 is available on our website:
http://www.health.ny.gov/regulations/public_health_law/section/2168/index.htm
Inclusion of adults in NYSIIS and CIR will significantly contribute to a fully-developed,
population-based database of accurate immunization records. Complete data are essential to
developing statewide immunization programs intended to reduce the burden of vaccinepreventable disease.
Empire State Plaza, Corning Tower, Albany, NY 12237│health.ny.gov
Pharmacists and registered nurses in NYC must report to the CIR. Information on how to enroll
in the program is on the NYC Health Department’s website at
http://www.nyc.gov/html/doh/html/hcp/cir.shtml. You may also contact NYC Bureau of
Immunization staff at (347) 396-2400 or email [email protected] for additional
information.
For more details on NYSIIS, including how to gain access, please visit the Department of Health
website: http://www.health.ny.gov/prevention/immunization/information_system/
Thank you for your support for this important public health activity. Your participation is
invaluable to the program's success. You may also contact NYSIIS staff at
(518) 473-2839 or email [email protected] with additional questions.
Sincerely,
Dina Hoefer, PhD
NYSIIS Program Manager
Bureau of Immunization
Empire State Plaza, Corning Tower, Albany, NY 12237│health.ny.gov